Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

M.d.m. of Ellenton PA

Organization Dentist · NPI 1558779918

M.d.m. of Ellenton PA is a Dentist in Ellenton, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5975 Factory Shops Blvd
Ellenton, FL 34222-4125
Phone: (941) 254-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN18829 (FL)

Record details

NPI number1558779918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Martin — President · (941) 254-2300
NPI enumeratedJuly 30, 2014
Last updated in NPPESJuly 30, 2014
Mailing address701 S Howard Ave, Ste 106-386, Tampa, FL 33606-2473

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